SHANNON BELLANCA (NPI# 1720647837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720647837 |
| Entity Type | Individual |
| Full Name | SHANNON BELLANCA |
| Credential | RBT |
| Practice Address |
2701 Midway Dr Unit 371141 San Diego CA 92137-6110 |
| Mailing Address |
130 Corridor Rd Unit 3292 Ponte Vedra Beach FL 32004-7833 |
| Practice Telephone | 7249749932 |
| Mailing Telephone | 9046386388 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2701 MIDWAY DR UNIT 371141 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92137-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314270 | Donna M Clint | Behavior Technician | 2701 Midway Dr Unit 371141, San Diego, CA 92137-6110 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389934 | Robert M Marks | Preventive Medicine | Comnavairfor, Box 357051 Nas Ni, San Diego, CA 92137 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1265033583 | Mission Bay Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280b, San Diego, CA 92121-3774 | 2020-11-03 |
| Find all providers in SAN DIEGO | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
| 1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
| 1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
| 1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
| 1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
| 1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
| 1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on SHANNON BELLANCA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.